If you believe you may be infertile, some initial tests could help determine the cause. Most of these tests can be performed by your GP before you come to see me.
I generally recommend a simple semen test for the male partner. However, the female may need to undergo a variety of tests, including: • Hormone profile • Vaginal ultrasound • Ovulation – D21 Progesterone • Rubella and chicken pox immunity, FBE & Film (Thalassaemia Screen if appropriate) • Ovarian Reserve – AMH (anti-mullerian hormone)
Importantly, IVF is not the only fertility treatment and many of my patients succeed with other approaches. Once we have a clearer understanding of your situation, I will talk to you in detail about ongoing management and treatment strategies.
Some other treatment options include:
Clomiphene citrate: Available in tablet form, clomiphene citrate is a fertility drug used in women who do not ovulate. It is designed to stimulate ovulation.
Gonadotrophins ovulation induction: Available in injection form, this treatment is designed to stimulate the production of eggs. Once eggs are developed, the patient receives another injection (HCG) to trigger ovulation. Intercourse is then timed accordingly.
Intrauterine insemination: Often combined with ovulation induction, this treatment involves collecting and preparing sperm in the IVF lab before transferring it into the uterus.
Surgery: Some women may need surgery (laparoscopy or hysteroscopy) to treat conditions that are preventing conception – such as endometriosis, fibroids or polyps.